Arlene S Allison, LISAC
Individual provider Active NPI Counselor · Sacaton, AZ
NPI 1770860934 · NPPES record last updated Nov 15, 2011
Key facts
- NPI
- 1770860934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LISAC-11453 (AZ)
- Practice address
- 483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038 - Phone
- (602) 528-1200
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-11453 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Indian Community Department of Human Services | Past | Accepting new patients | |
| Gila River Health Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LISAC-11453 | AZ | Yes |
Addresses
Primary practice location
483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038
Mailing address
PO Box 2171
Sacaton, AZ 85147-0038
Phone (520) 562-3356
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.